Individual
DR. MATTHEW LITTLEJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1968 N PEART RD STE 12, CASA GRANDE, AZ 85122-2496
(520) 836-9606
(520) 836-3964
Mailing address
1968 N PEART RD STE 12, CASA GRANDE, AZ 85122-2496
(520) 836-9606
(520) 836-3964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W00000X
TAXONOMY
AZ
05
—
387419
—
AZ
01
—
D09166
RAILROAD MEDICARE
—
01
—
DU5966
RAILROAD MEDICARE
AZ
Enumeration date
07/18/2006
Last updated
05/05/2020
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